BEACON BEHAVIORAL HEALTH-BATON ROUGE INC NPI 1699767699

NPI Information

BEACON BEHAVIORAL HEALTH-BATON ROUGE INC is a mental health (including community mental health center) clinic center in Baton Rouge, LA. BEACON BEHAVIORAL HEALTH-BATON ROUGE INC NPI is 1699767699. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Synergy Behavioral Health Of Baton Rouge Inc..

The provider's business location address is:

422 COLONIAL DR
BATON ROUGE, LA
ZIP 70806-505
Phone: (225) 924-5655
Fax: (225) 924-5330

The provider's authorized official is Earl J Wilde .
The authorized official title is Chairman Of The Board and has the following contact phone number (225) 810-4040.

The CLIA number assigned to this NPI record is 19D0976089 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.